Basic Information
Provider Information
NPI: 1164842514
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HUNTER
FirstName: WHITNEY
MiddleName: JASMINE
NamePrefix:  
NameSuffix:  
Credential: APRN
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 800 NE 10TH ST
Address2: SUITE 5050
City: OKLAHOMA CITY
State: OK
PostalCode: 731045418
CountryCode: US
TelephoneNumber: 4052717770
FaxNumber: 4052711006
Practice Location
Address1: 800 NE 10TH ST
Address2: SUITE 2100
City: OKLAHOMA CITY
State: OK
PostalCode: 731045418
CountryCode: US
TelephoneNumber: 4052718707
FaxNumber: 4052712976
Other Information
ProviderEnumerationDate: 04/24/2014
LastUpdateDate: 04/24/2014
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LW0102XR0093104OKY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health

No ID Information.


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